Provider Demographics
NPI:1407427115
Name:RAHMATI, NEUSHA ASHLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEUSHA
Middle Name:ASHLEY
Last Name:RAHMATI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 W UNIVERSITY DR STE 1060
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-1607
Mailing Address - Country:US
Mailing Address - Phone:940-382-5900
Mailing Address - Fax:
Practice Address - Street 1:2700 W UNIVERSITY DR STE 1060
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-1607
Practice Address - Country:US
Practice Address - Phone:940-382-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-03
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX369021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty